Evidence map›Paper›PMID 31898040›Full record

ArticleObesity surgery2020

Duodenal-Jejunal Bypass Liner (DJBL) Improves Cardiovascular Risk Biomarkers and Predicted 4-Year Risk of Major CV Events in Patients with Type 2 Diabetes and Metabolic Syndrome.

Natascha Roehlen, Katharina Laubner, Dominik Bettinger, Henning Schwacha, Hanna Hilger, Carolin Koenig, Dirk Grueninger, Andreas Krebs, Jochen Seufert

Abstract read
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In one paragraph

Article in Obesity surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Bariatric and Metabolic Endoscopy: A New Paradigm.Clinical and translational gastroenterology · 2021
    Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Natascha RoehlenDepartment of Medicine II, Medical Center, Division of Endocrinology and Diabetology, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg im Breisgau, Germany. natascha.roehlen@uniklinik-freiburg.de.ORCID 0000-0002-6653-8765
Katharina LaubnerDepartment of Medicine II, Medical Center, Division of Endocrinology and Diabetology, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg im Breisgau, Germany.
Dominik BettingerDepartment of Medicine II, Faculty of Medicine, Division of Hepatology, Gastroenterology and Gastrointestinal Endoscopy, University Hospital of Freiburg, Freiburg im Breisgau, Germany.
Henning SchwachaDepartment of Medicine II, Faculty of Medicine, Division of Hepatology, Gastroenterology and Gastrointestinal Endoscopy, University Hospital of Freiburg, Freiburg im Breisgau, Germany.
Hanna HilgerDepartment of Medicine II, Medical Center, Division of Endocrinology and Diabetology, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg im Breisgau, Germany.
Carolin KoenigDepartment of Medicine II, Medical Center, Division of Endocrinology and Diabetology, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg im Breisgau, Germany.
Dirk GrueningerCentre of Laboratory Diagnostics, MVZ Clotten, Freiburg im Breisgau, Germany.
Andreas KrebsCentre of Laboratory Diagnostics, MVZ Clotten, Freiburg im Breisgau, Germany.
Jochen SeufertDepartment of Medicine II, Medical Center, Division of Endocrinology and Diabetology, Faculty of Medicine, University of Freiburg, Hugstetter Straße 55, 79106, Freiburg im Breisgau, Germany.
University of Freiburg · DECS Diagnostics · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe duodenal-jejunal bypass liner (DJBL) represents a novel endoscopic minimally invasive treatment option for obesity-associated type 2 diabetes (T2D), affecting body weight and metabolic control. Until now, the effects of DJBL on cardiovascular risk have never been investigated.

methodsBetween 2012 and 2017, 71 patients with T2D and metabolic syndrome (MS) were recruited for implantation of DJBL for 9-12 months. Within DJBL treatment and a follow-up period of 6 months, patients were analysed for dynamics of cardiovascular biomarkers. Overall cardiovascular risk was estimated by the ADVANCE Risk Engine at time of implantation, explantation and 6 months after explantation of DJBL.

resultsDJBL-induced weight loss and improvements in blood sugar control were accompanied by significant decreases of the cardiovascular biomarkers high-sensitive CRP, lipoprotein-associated phospholipase A2 and small dense lipoprotein fraction LDL-4 (p = 0.001, p < 0.001 and p = 0.04, respectively). Estimated overall cardiovascular risk decreased significantly after DJBL implantation and remained stable within 6 months after explantation.

conclusionsIn addition to beneficial effects of DJBL on weight loss, glycaemic control and lipid parameters in patients with MS, this is the first study that could further reveal significant impact on serological cardiovascular biomarkers and estimated CV risk, suggesting putative protective effects of DJBL on CV outcome.

Indexed as

Bariatric SurgeryCardiovascular DiseasesDiabetes Mellitus, Type 2Metabolic SyndromeObesity, MorbidBiomarkersDuodenumHeart Disease Risk FactorsHumansJejunumRisk FactorsTreatment OutcomeBiomarkersADVANCE Risk EngineBlood sugar controlCardiovascular eventEndoscopic therapyhsCRPLp-PLA2

Identifiers

PMID31898040
OpenAlexW2998420253

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.